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Citizen Interest Application

Thank you for your interest in serving your community. We encourage citizens to volunteer to serve on our Boards, Committees and Commissions. This application will be kept on file for three (3) years from the date received, and will be considered when vacancies occur on the committee(s) for which you applied.

Women and minorities are encouraged to apply.

Please note that information provided is subject to the open records laws of the State of South Dakota. If recommended by the mayor, your appointment is subject to City Council confirmation.

Any questions can be directed to the Mayor’s Office at 605-394-4110.

Thank you for applying.

Note: Click here to view a map of the Rapid City voting wards.

Fields marked with * are required

Name

Street Address

City

State

Zip

Phone Number

Email

Title/Occupation

Employer

Employer Street Address

Employer City, State, Zip Code

Employer Phone

Employer Email

At which address would you prefer to be contacted?

Home

Work

Ward

(see link at the top of this page if you are not sure what ward you are in)

I would like to serve on the following:

I am also interested in serving on:

(Select all that apply)

Please list education or training relevant to your choice(s):

Please list experience relevant to your choice(s):

Please list community volunteer service relevant to your choice(s):

I would like to serve in the indicated position(s) because:

Primary Reference Name

Primary Reference Address

Primary Reference Phone

Are you a registered voter in Rapid City

Are you a resident of Rapid City

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Accepts .pdf, .docx, .doc, .odt files

Disclaimer:

I understand the role and responsibility of membership on these Boards or Commissions and am willing to serve. In applying for appointment, I understand that the mayor may contact the references listed. I also understand that I might be contacted by citizens or other board members at the address I indicated on the other side of this application.